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Current Provider Resources Request Copy of EMS Card DOH Inspection Prep Applications and Forms Public Access Defibrillation Education and Training EMS Agency Update Prehospital Care Reports Pediatric Safe Transport Annual Skills New or Returning Provider EMS Protocols Vital Signs Reimbursement

IMPROVING THE HEALTH & WELLNESS OF OUR RURAL COMMUNITIES Our Key Services At Southern Tier Health Care System, we are dedicated to addressing the unique healthcare challenges faced by our rural communities. Our programs are designed to improve access, provide education, and deliver life-saving resources to underserved populations. Here’s how we make a difference: Community Support EMS Education & Training Step Into Healthcare Telehealth Safe Kids Pathways to Care About us For 30 years, Southern Tier Health Care System (STHCS), a 501(c)(3) nonprofit in Olean, NY, has served 250,000 residents in Allegany, Cattaraugus, and Chautauqua counties—rural areas facing severe healthcare shortages and high poverty rates. STHCS partners with healthcare providers, educators, law enforcement, and other leaders to deliver holistic care, leveraging technology to improve access. Programs include EMS training, Narcan education, suicide prevention, and initiatives to eliminate barriers to healthcare. Collaborating with 12 partners, STHCS aligns with health department priorities to enhance healthcare capacity and support underserved communities. See Programs Our Mission Our Mission Our Mission It is the mission of Southern Tier Health Care System, Inc. to improve the health and wellness of the rural communities we serve. Belief Statement Agencies and organizations affiliated with STHCS believe that our collective knowledge and experience is an effective resource to address health care issues in our region. We further believe that STHCS is an appropriate mechanism to facilitate the project and programs which may be needed to accomplish this. Vision Statement The vision of STHCS is that comprehensive health needs of all people will be met through its facilitation of an accessible, seamless, quality system of providers and services. This will be accomplished by maximizing resources and cost-effective approaches to improve the quality of life. SEE UPDATES VIEW DONNA'S WEEKLY PROGRAM UPDATES! Donna Kahm has served as President and CEO at Southern Tier Health Care System since January 2007. To view her weekly updates, click below! View Updates Our Programs

Our Programs Community Support Services Blood Drives Accident and burn victims, people battling cancer, organ transplant patients, and those getting heart surgery, blood donation helps all of these patients and more. Health Insurance Providing navigation for the NYS of Health marketplace for individuals seeking health insurance. Pathways to Care Guiding and connecting individuals with the resources they need to navigate their unique health journeys. Caregiver Navigation The caregiver navigator at Southern Tier Health Care System can serve as a guide as you search for supports and services to help provide care for your loved one. Overdose Prevention STOPP is a community based opioid overdose prevention and Narcan distribution program supported by NYSDOH Sexual Assault Care Providing compassionate and confidential care to sexual assault survivors in the Southern Tier. File of Life The File of Life is a magnetized pouch containing a person’s medical information that is placed on the refrigerator in case of emergency. Telehealth Strengthening access to healthcare through telehealth solutions serving rural residents with technology. Step Into Healthcare Become a SAFE Training to provide compassionate and confidential care to sexual assault survivors in the Southern Tier. Step Into Healthcare Exposing the regions youth to healthcare careers. EMT-B Academy STHCS, in collaboration with our many partners, including Community Services partners, is strengthening access to healthcare. Paramedic Program Training certified EMT-Bs to be Paramedics to serve the rural communities in the Southwestern Region. Safe Kids Safe Kids Safe Kids Southern Tier New York is a child injury prevention program under Safe Kids Worldwide. Cribs for Kids Providing free safe sleep environments and educating caregivers in the ABCs of Safe Sleep. EMS Education & Training Emergency Medicine Southern Tier Emergency Medical System (STEMS) is the EMS program agency for the Southwestern Regional EMS Council. AHA Training Training Site for American Heart Association's Heartsaver, BLS Provider and ACLS Provider courses under MCC. Stop the Bleed Stop the Bleed course teaches quick techniques to help save a life before someone bleeds out.

Pathways To Care As Southern Tier Health Care System continues to grow and expand its initiatives, we are excited to introduce STHCS – Pathways to Care as a unifying identity for our health and wellness programs. This initiative reflects our role as guides, empowering individuals and connecting them with the resources they need to navigate their unique health journeys. Unlike direct care providers, our focus is on facilitating access, education, and support to ensure community members can make informed decisions about their well-being. STHCS – Pathways to Care encompasses a range of transformative programs, including: Wellbeing+/App Program The 1115 Waiver Initiative Pathways to a Healthier You Transportation By bringing these programs under one cohesive identity, we reinforce our commitment to innovation, collaboration, and community-driven solutions. This initiative not only strengthens our position as a trusted leader in health and wellness but also fosters a sense of inclusivity and empowerment throughout the Southern Tier. Mission Statement To empower individuals and communities across the Southern Tier to achieve optimal health and well-being through innovative wellness programs, accessible education, and collaborative pathways that inspire and sustain lifelong healthy habits. Vision Statement To create a healthier Southern Tier where every individual is equipped with the tools, knowledge, and support needed to thrive on their personal journey to wellness. As we move forward, STHCS – Pathways to Care will serve as the foundation for these efforts, reinforcing our commitment to building a healthier future for our community. Stay tuned for updates, including a new logo that will further define our identity. Thank you for supporting this next step in our mission to connect, guide, and empower individuals on their path to better health. Wellbeing+ 1115 Waiver Pathways to a Healthier You Transportation

Emergency Medicine Southern Tier Emergency Medical System (STEMS) is a program of Southern Tier Health Care System, Inc., and also an EMS program agency for the Southwestern Regional EMS Council (SWREMS). STEMS is responsible for researching and coordinating educational seminars to meet the needs of the EMS agencies in Allegany, Cattaraugus and Chautauqua counties. We are contracted by the New York State Department of Health Bureau of EMS to provide a specific set of "deliverables," which are required goals for us to meet. STEMS also supports the Western Regional Medical Advisory Committee (WREMAC). Current Provider Resources Southwestern Regional EMS Council Southern Tier EMT-B Academy WREMAC Regional Paramedic Program NYSDOH Division of EMS

Board of Directors Who We Are See our Team Todd Reisner Chairman Director of Operations, Trans Am Ambulance Services Donna Kahm President President & CEO Southern Tier Health Care System Melissa Sullivan Vice-Chairwoman CEO HomeCare & Hospice Jason Beckwith President & CEO Lutheran Social Services Emelia Harley VP of Patient Care Services and CNO UPMC Chautauqua WCA Steven Jackson Foundation President Olean General Hospital Tyler Shaw Public Health Director Allegany Co. Health Department Christine Strade CEO Olean Medical Group Dr. Kevin Watkins Public Health Director Cattaraugus Co. Health Department Sandra Watkins VP of Patient Care Services and CNO Jones Memorial Hospital

Nav Menu Safe Kids Upcoming Events Babysitter Training This is a hands-on course designed for children ages 11to 18. After completing this course, students will receive a two-year CPR certification and be trained in basic first aid and choking relief. Class participants will learn how to care for infants and young children, communicate effectively with children, properly find babysitting jobs, recognize safety issues, and how to handle emergencies, students will also learn appropriate games, meals, and snacks for children. Sign Up

PCR Request Refusal Forms BEMS Policies 12-02 Prehospital Care Reports (PDF) 12-03 Electronic PCR Data Submission (PDF) 21-04 Submission of Patient Care Reports as of July 1st, 2021 (PDF) NYSDOH 5136 Form WREMAC Refusal Form WREMAC Refusal of Evaluation, Treatment, & Transport Form Request Printed Refusal Forms Prehospital Care Report *due to BEMS policy statement 21-04 (above), STEMS is no longer able to distribute paper PCRs and continuation forms. Printable PCR Agency Copy (White Copy) - Front Agency Copy (White Copy) - Back Research Copy (Yellow Copy) - Front Research Copy (Yellow Copy) - Back Hospital Copy (Pink Copy) - Front Hospital Copy (Pink Copy) - Back DOH-3411 - Continuation Form

Southern Tier EMT-B Academy Resources Below are the links to resources for students in our 2025 EMT-B Academy Prework Assignments/ Schedule Pearson eTextbook Prework trainings and paperwork: Hazmat Training FEMA ICS-100: Introduction to the Incident Command System FEMA IS-700: National Incident Management System, An introduction NYS Mandated Reporter Training DOH 3312 Student Health History Form NYS Practical Skills Exam Videos: PSE Station 1: Medical Assessment PSE Station 2: Trauma Assessment PSE Station 3: Cardiac Arrest Management PSE Station 4: Bag-Valve Mask Apneic with a Pulse PSE Station 5A: Upper Airway Adjuncts and Suction PSE Station 5B: Supplemental Oxygen Administration PSE Station 5C: Bleeding Control and Shock Management PSE Station 6A: Immobilization Skills- Long Bone PSE Station 6B: Immobilization Skills- Joint Injury PSE Station 6C: Immobilization Skills- Traction Splint

Nav Menu American Heart Association Courses Interested in a Course? Contact Us! Hands-only CPR Training Learn the core concepts of life-sustaining, high-quality Chest compressions for providing CPR to patients experiencing sudden cardiac arrest. This course is not an official American Heart Association or American Red Cross course and does not provide an official credential. Time : 30 minutes Certificate : Course completion card Heartsaver® First Aid CPR AED Training The AHA’s Heartsaver First Aid CPR AED course trains participants to provide first aid CPR and use an automated external defibrillator (AED) safely, timely, and effectively. Reflects science and education from the American Heart Association Guidelines Update for CPR and Emergency Cardiovascular Care (ECC). Who should take this course? The AHA’s Heartsaver First Aid CPR AED Course is designed for anyone with little or no medical training who needs a course completion card for their job, regulatory (e.g., OSHA), or other requirements, or anyone who wants to be prepared for an emergency in any setting. What does this course teach? • First aid basics • Medical emergencies • Injury emergencies • Environmental emergencies • Preventing illness and injury • Adult CPR and AED use • Opioid-associated life-threatening emergencies • Optional modules in Child CPR AED and Infant CPR Cost per participant : $65 Time : 6 hours Certificate : AHA Heartsaver® course completion card Heartsaver® First Aid CPR AED Training Basic Life Support (BLS) Provider The AHA’s BLS course trains participants to promptly recognize several life-threatening emergencies, give high-quality chest compressions, deliver appropriate ventilations and provide early use of an AED. Reflects science and education from the American Heart Association Guidelines Update for CPR and Emergency Cardiovascular Care (ECC). Who should take this course? The AHA’s BLS Course is designed for healthcare professionals and other personnel who need to know how to perform CPR and other basic cardiovascular life support skills in a wide variety of in-facility and prehospital settings. What does this course teach? • High-quality CPR for adults, children, and infants • The AHA Chain of Survival, specifically the BLS components • Important early use of an AED • Effective ventilations using a barrier device • Importance of teams in multi rescuer resuscitation and performance as an effective team member during multi rescuer CPR • Relief of foreign-body airway obstruction (choking) for adults and infants Cost per participant : $75 Original $35 Refresher Time : 4 hours original and 2 hours refresher Certificate : BLS provider course completion card Basic Life Support (BLS) Provider Advanced Cardiac Life Support (ACLS) Provider The AHA’s ACLS Provider is for healthcare professionals who either direct or participate in the management of cardiopulmonary arrest or other cardiovascular emergencies and for personnel in emergency response What does this course teach? After completing this course, students should be able to: • Define systems of care • Apply the BLS, Primary, and Secondary Assessments sequence for a systematic evaluation of adult patients • Discuss how the use of a rapid response team (RRT) or medical emergency team (MET) may improve patient outcomes • Discuss early recognition and management of Acute Coronary Syndrome (ACS), including appropriate disposition • Discuss early recognition and management of stroke, including appropriate disposition • Recognize bradycardias and tachycardias that may result in cardiac arrest or complicate resuscitation outcome • Perform early management of bradycardias and tachycardias that may result in cardiac arrest or complicate resuscitation outcome • Model effective communication as a member or leader of a high-performance team • Recognize the impact of team dynamics on overall team performance • Recognize respiratory arrest • Perform early management of respiratory arrest • Recognize cardiac arrest • Perform prompt, high-quality BLS, including prioritizing early chest compressions and integrating early automated external defibrillator (AED) use • Perform early management of cardiac arrest until termination of resuscitation or transfer of care, including immediate post-cardiac arrest care • Evaluate resuscitative efforts during a cardiac arrest through continuous assessment of CPR quality, monitoring the patient’s physiologic response, and delivering real-time feedback to the team Cost per participant : $200 Original $100 Refresher Time : 16 hours original and 8 hours refresher Certificate : AHA ACLS Provider course completion card Advanced Cardiac Life Support (ACLS) Provider HeartCode® - Online BLS and ACLS Provider HeartCode is the AHA’s blended learning delivery method for the BLS Course or ACLS Course. HeartCode blended learning delivers quality resuscitation education regardless of where providers are located and gives them more control to complete the course at their own pace. Providers first complete the online portion of HeartCode. HeartCode online portion can be purchased at: • BLS: https://shopcpr.heart.org/heartcode-bls • ACLS: https://shopcpr.heart.org/heartcode-acls Then you must complete a hands-on skills session (fees below). • HeartCode Skills Station - BLS: $40 • HeartCode Skills Station - ACLS: $75 To schedule a HeartCode Skills Station, please contact stems@sthcs.org . HeartCode® - Online BLS and ACLS Provider

Blood Glucometry Medical Director Verification Form (DOH-4362) WREMAC Blood Glucometry Packet DOH-4081 Limited Lab Application Form for EMS Agencies DOH-4081 Instructions & Schedule of Fees for Application WREMAC PowerPoint These items must be submitted to STEMS no less than three weeks prior to the next scheduled WREMAC meeting for approval. If you encounter any problems or need an additional help please feel free to reach out to me and I will help you through the process at stems@sthcs.org .

Nav Menu Cribs for Kids Apply now Safe sleep matters for babies. Each year 3,500 infants die suddenly and unexpectedly during sleep time. Sadly, most of these deaths are preventable. Many infant deaths are due to accidental suffocation or strangulation from unsafe sleeping environments. As part of our Safe Sleep Initiative, STHCS is working to prevent sudden unexpected infant deaths by spreading the ABCs of Safe Sleep and by serving as a Cribs for Kids® partner organization. If you are in need of a safe place for your baby to sleep and live in Chautauqua, Cattaraugus, or Allegany county, apply now! Thank you to the East Hill Foundation and the Dr. Lyle F. Renodin Foundation, a ministry of the Franciscan Sisters of Allegany, NY, for supporting our infant safe sleep initiative! Click here to download the Safe Sleep Posters! Partnership Cribs for Kids® Partnership The Cribs for Kids Program, administered by the Southern Tier Health Care System, is dedicated to providing free Pack ‘N Plays and essential baby safety items to expecting parents and caregivers in Allegany, Cattaraugus, and Chautauqua counties. Aligned with the mission of Cribs for Kids®, a national organization striving to prevent infant deaths since 1998, our program addresses the tragic reality of 3,500 infants dying suddenly and unexpectedly during sleep each year. The majority of these deaths are preventable, often resulting from accidental suffocation or strangulation due to unsafe sleeping environments. STHCS has established relationships with local hospitals and health-care providers to identify families who are unable to afford a crib to provide a safe sleep environment for their baby. These families are referred to our organization which determines whether or not they qualify to receive a Graco® Pack n’ Play portable crib for their baby. Click Here for a List of Safe Sleep Ambassadors . For more information, please contact us .